ABSTRACT
Background: Childhood tetanus has high mortality and is preventable
Objective: To enlist the risk factors of childhood tetanus among patients admitted in a tertiary care hospital. Methodology: Study design: Cross sectional study. Place and duration of study: Children ward, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan from 1 September 2012 to 28 February 2015. In this study 97 patients were included. Their parents were interviewed according to the given performa. The data was entered and analyzed by using SPSS version 19
Results: Out of 97 patients, the fathers of 68[64%] patients and mothers of 84 [86%] patients were either illiterate or primary education only. Most 57 [58%] of the patients belonged to a low socioeconomic family having the monthly income of less than PKR 10,000. The fathers of 37[38%] patients were Sindhi. 57[58.76%] patients were from rural areas. Most 69 [71%] of the affected patients were boys, age range of 5 to 10 years, was found 39 [40%] of patients were boys, age range of 5 to 10 years, was found in 39 [40%] of patients
Conclusion: The various factors which are responsible for the development of childhood tetanus were; poor educational status of the parents, Sindhi, ethnicity, low socioeconomic status and rural area residence
ABSTRACT
To determine the EPI status in children <1 year of age and the status of Tetanus immunization in their mothers attending paediatric department. This will help us to determine the facts and figures in our population and to construct a plan to improve the vaccination status. Cross-sectional analytical study This study was conducted at the Department of Paediatrics, Sheikh Zayed Medical College and Hospital, Rahim Yar khan from April 2011 to July 2011. In the study 492 consecutive children whether admitted in the ward or visited in Paediatric OPD and their mothers were inquired about EPI status in ttie child and the status of Tetanus immunization in their mothers, strictly following the inclusion and exclusion criteria. Out of 492 patients, we have found three groups. Group 1 includes those children who were unvaccinated. Group 2 includes those children who were incompletely vaccinated. Group 3 include those who were completely vaccinated according to EPI schedule. Similarly three groups were found in mothers. Group 1 includes those who were unvaccinated. Group 2 includes incompletely vaccinated ladies. Group 3 include those who were completely vaccinated according to EPI schedule. In our study, we found that EPI status is very poor in our low socioeconomic and illiterate population. Those people living in peripheries and remote areas are particularly not properly following the EPI programme
ABSTRACT
Background: Tuberculosis is a lethal communicable disease, and at times its diagnosis is difficult to establish
Objective: To compare the results of Gene Expert to that of tuberculin test for the diagnosis of childhood tuberculosis
Patients and Methods: Study design: Cross-Sectional Analytical study. Place and duration of study: Department of Pediatrics, Sheikh Zayed Medical College and Hospital, Rahim Yar Khan from 1[st] November, 2012 to 31[st] July, 2013. 92 patients of tuberculosis were included strictly, following the inclusion and exclusion criteria. Diagnosis of tuberculosis was on the basis of Kenneth Jones criteria. Beside other investigations Gene Expert and Tuberculin test were done and their results were compared. The data was entered and analyzed by SPSS version 15
Results: Out of 92 patients, 80 [86.9%] were reported positive by Gene Expert whereas 56 [60.8%] were reported positive by Tuberculin test. Overall 52 [56.5%] were found positive by both Gene Expert and Tuberculin test, whereas 8 [8.6%] were found negative by both Gene Expert and Tuberculin test. Out of 80 who were found positive by Gene Expert, 28[35%] were reported negative by Tuberculin test while out of 12 who were reported negative by Gene Expert, 4 [33.3%] were positive by Tuberculin test
Conclusion: In our study, we found that both Gene Expert and Tuberculin test are effective diagnostic tools for tuberculosis. However, in several cases Gene Expert is more effective than Tuberculin test
ABSTRACT
Background: Tuberculosis is a lethal communicable disease, and at times its diagnosis is difficult to establish
Objective: To compare the results of Gene Expert to that of tuberculin test for the diagnosis of childhood tuberculosis
Patients and Methods: Study design: Cross-Sectional Analytical study. Place and duration of study: Department of Pediatrics, Sheikh Zayed Medical College and Hospital, Rahim Yar Khan from 1[st] November, 2012 to 31[st] July, 2013.92 patients of tuberculosis were included strictly, following the inclusion and exclusion criteria. Diagnosis of tuberculosis was on the basis of Kenneth Jones criteria. Beside other investigations Gene Expert® and Tuberculin test were done and their results were compared. The data was entered and analyzed by SPSS version 15
Results: Out of 92 patients, 80 [86.9%] were reported positive by Gene Expert whereas 56 [60.8%] were reported positive by Tuberculin test. Overall 52 [56.5%] were found positive by both Gene Expert and Tuberculin test, whereas 8 [8.6%] were found negative by both Gene Expert and Tuberculin test. Out of 80 who were found positive by Gene Expert, 28 [35%] were reported negative by Tuberculin test while out of 12 who were reported negative by Gene Expert, 4 [33.3%] were positive by Tuberculin test
Conclusion: In our study, we found that both Gene Expert and Tuberculin test are effective diagnostic tools for tuberculosis. However, in several cases Gene Expert is more effective than Tuberculin test